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Supercharge End-to-Side Nerve Transfer: Systematic Review

机译：增压端到侧神经转移：系统评论

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Background: To decrease the time to reinnervation of the intrinsic motor end plates after high ulnar nerve injuries, a supercharged end-to-side (SETS) anterior interosseous to ulnar motor nerve transfer has been proposed. The purpose of this study was to compile and review the indications, outcomes, and complications of SETS anterior interosseous to ulnar motor nerve transfer. Methods: A literature search was performed, identifying 73 papers; 4 of which met inclusion and exclusion criteria, including 78 patients. Papers included were those that contained the results of SETS between the years 2000 and 2018. Data were pooled and analyzed focusing on the primary outcomes: intrinsic muscle recovery and complications. Results: Four studies with 78 patients met inclusion and exclusion criteria. Most patients (33.3%) underwent SETS for an ulnar nerve lesion in continuity, the average age was 46.5 years, and the average follow-up was 10 months. The average duration of symptoms before surgery was 99 weeks, all patients had weakness and numbness, nearly all (96%) had atrophy, and half (53%) had pain. Grip and key pinch strength improved 202% and 179%, respectively, from the preoperative assessment. The vast majority (91.9%) recovered intrinsic function at an average of 3.7 months. Other than 8% of patients who did not recover intrinsic strength, no other complications were reported in any of the 78 patients. Conclusions: The SETS is a successful procedure with low morbidity, which may restore intrinsic function in patients with proximal nerve injuries.
机译：背景：为了减少高尺神经损伤后固有电动机端板的时间减少，已经提出了一种增压侧面（套装）前侧向尺核来到尺核运动神经传递。本研究的目的是编制和审查将前孔嵌入的术语，结果和并发症们编制和审查对尺寸运动神经转移的指示，结果和并发症。方法：进行文献搜索，识别73篇论文;其中4个符合纳入和排除标准，其中包括78名患者。文件包括在2000年和2018年之间包含套件结果的论文。汇集了数据并分析了主要结果：内在肌肉回收和并发症。结果：四项研究78名患者符合纳入和排除标准。大多数患者（33.3％）接受了连续性的尺神经病变的套装，平均年龄为46.5岁，平均随访时间为10个月。手术前的症状的平均持续时间为99周，所有患者都有弱点和麻木，几乎所有（96％）萎缩，半（53％）有疼痛。从术前评估中，握把和钥匙夹紧强度分别从术前评估提高了202％和179％。绝大多数（91.9％）平均恢复内在功能3.7个月。除了8％的患者中没有收回内在力量，78名患者中的任何一个都没有报告其他并发症。结论：该套装是发病率低的成功术，可恢复近端神经损伤患者的内在功能。

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